Benefits Assistant II

Responsibilities

 

·        Responsible for reconciling and processing Summer Day Camp and Holiday Program provider invoices

·        Review invoice submission for proper documentation.

·        Validate member program usage.

·        Data entry of service provider invoices into Oracle EBS system.

·        Resolve disputed costs and discrepancies.

·        Adjust and reconcile provider bills.

·        Respond to provider inquiries.

·        Maintain provider payment files.

·        Process quarterly and annual reimbursement programs

·        Produce and review daily and weekly reimbursement reports; submit to management for approval.

·        Research outstanding member documentation and eligibility issues; follow up with members as needed.

·        Reconcile, post, and apply member copayments to copayment-related programs.

·        Respond to member inquiries via email, mail, fax, and phone.

·        Research and follow-up with members regarding copayments, outstanding balances, and vendor disputes.

·        Assist walk-in members as needed.

·        Present at service provider workshops and member trainings.

·        Facilitate the training and development of junior staff on unit standard operating policies and procedures

·        Log program change requests; generate stop payments and process tax status changes.

·        Perform special projects and assignments as directed by management.

 

 

Qualifications

 

·        High School Diploma or GED required 

·        Minimum two (2) year of data entry and two (2) year of customer service experience required 

·        Familiarity with basic accounting practice preferred 

·        Basic skill level in Microsoft Word and Excel 

·        Knowledge of KIDS, RightFax, SmartSheet preferred

·        Excellent verbal and written communication skills; able to handle multiple priorities and work well under pressure and independently

·        Excellent interpersonal and analytical skills; interact professionally with union members, vendors and colleagues